eLetters

534 e-Letters

published between 2003 and 2006

  • Author's reply
    Catherine Crock

    Dear Editor

    We appreciate the comments from Drs Russo et al.[1] Psychological and behavioral therapies are central to paediatrics and should be a part of any pain management program. Several professionals at our institution have a major focus in these areas.

    Our aim is for our families to be well informed and able to choose what is best for their child. An essential part of this is to accurately pre...

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  • Don't forget adrenal insufficiency
    Dhiraj Ahlawat

    Dear Editor

    One of the important causes left out in discussion is adrenal insufficiency. Adrenal insufficiency (Addison's Disease) has been called a great medical imitator because of the variety of ways in which it can present. Most of the times diagnosis is made on autopsy only. A lot of them present with postural syncopal attacks as major manifestation and will terminally present in Addisonian crisis if diag...

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  • Co-existence of asthma and mild food allergy a strong indication for epinephrine autoinjector
    Onajite M Oyaide

    Dear Editor

    Following two recent articles on food allergy in childhood by Macdougall et al,[1] Clark and Ewan,[2] we report a case of near fatal food allergic reaction in a child with a history of asthma and mild food allergy.

    This 14-year-old girl with life-long asthma also had a history of angioedema associated with ingestion of eggs and fish. She experienced sudden severe breathing difficulties a...

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  • Food allergy in childhood
    Allan F Colver

    Dear Editor

    We were surprised by some of the content of Clark and Ewan’s paper [1] and their interpretation of our data.[2]

    As death certification of allergy deaths is problematic, we collected reports through the prospective BPSU mechanism and other sources as listed in our article. No additional deaths in the study period have been brought to our attention since publication. Our finding of no deaths due t...

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  • Lung function and respiratory health in adolescents of very low birth weight
    Dhullipala Anand

    Dear Editor

    We thank Professor Silverman for his comments on our paper.

    In the Discussion section of our paper, we inadvertently stated ‘ventilatory support’ instead of ‘respiratory support’ and this may have accounted for some of the misunderstanding that arose. Our definition of respiratory support was any form of supplementary oxygen, continuous positive airway pressure or mechanical ventilation [1] and w...

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  • Pain control during painful procedures: not only pharmachological approaches
    Giovanna Russo

    Dear Editor

    For our Paediatric Haematology Oncology Unit, the opportunity to offer the most appropriate support to children with cancer during painful procedures has always been a fundamental goal to achieve. Your article seems to stretch the value of general anaesthesia (GA) as the most adequate solution. But it is important to take into consideration that many paediatric Oncology Units do not include a surgery roo...

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  • Response to the letter of Dr Oudesluys-Murphy
    Mitchell L Halperin

    Dear Editor

    We thank Dr Oudesluys-Murphy for her letter in response to our article. In essence, two points were raised.

    I. Can one estimate the deficits of Na+ and water if one applies the formula proposed by Katz [1]]?

    This calculation makes the presumption that one can predict the change in plasma sodium concentration (PNa) when water is drawn out of cells by hyperglycaemia. This assumpti...

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  • On partial splenectomy in cystic fibrosis liver disease with portal hypertension
    J P Chazalette

    Dear Editor

    In 1993, we published the results of our first cystic fibrosis (CF) patients who had complications of liver disease and portal hypertension (PHT), and had been operated on by partial splenectomy (PS). We also presented the results of 11 patients at the Jerusalem CF meeting in 1996. Since 1982, we have operated on and followed up on 21 patients (aged 8 to 22 years). All patients had a large spleen measurin...

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  • Unusual presentation of hepatitis C
    Parvathi Mohan

    Dear Editor

    We wish to thank Dr Gurtin for her comments regarding the potential source of HCV infection in our patient. As we had stated, the source was speculated as perinatal after obtaining a history of maternal drug use prior to the patient's birth and the lack of risk factors for postnatal infection in the patient. However, the focus of our discussion was to highlight the unique presentation of acute jaund...

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  • Running in circles following ischemic stroke
    A.N. Williams

    Dear Editor

    I read Shaffer et al's paper with great interest, but it gave a strong sense of deja vu.[1] The authors and ADC readers may find of interest Sigmund Freud's comments on this particular topic from his classic Infantile Cerebral Paralysis published in 1897.[2]

    "The consideration of cranial trauma as another etiological factor defeats all attempts to view hemiplegic cerebral paralysis as a singl...

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